Skip to content

A Safety, Efficacy and Tolerability Study in Pediatric Subjects With Asthma

A Safety, Efficacy, and Tolerability Study of Daily Dosing With Levalbuterol Tartrate HFA MDI and Placebo in Subjects Aged Birth to <48 Months With Asthma

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00809757
Enrollment
197
Registered
2008-12-17
Start date
2008-12-31
Completion date
2013-06-30
Last updated
2014-07-28

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Asthma

Keywords

Asthma

Brief summary

A Safety, Efficacy, and Tolerability Study of Daily Dosing with Levalbuterol Tartrate HFA MDI and Placebo in Subjects Aged Birth to \<48 Months with Asthma.

Detailed description

This is a modified-blind, randomized, placebo-controlled, multicenter, parallel-group trial of levalbuterol HFA MDI administered using a facemask and holding chamber in subjects birth to \<48 months with asthma. This study was previously posted by Sepracor Inc. In October 2009, Sepracor Inc. was acquired by Dainippon Sumitomo Pharma., and in October 2010, Sepracor Inc's name was changed to Sunovion Pharmaceuticals Inc.

Interventions

90 ug Levalbuterol (2 actuations)

DRUGLevalbuterol UDV TID

0.31 ug Levalbuterol UDV TID

DRUGPlacebo

Placebo (2 actuations)

Sponsors

Sumitomo Pharma America, Inc.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
TRIPLE (Subject, Caregiver, Investigator)

Eligibility

Sex/Gender
ALL
Age
No minimum to 48 Months
Healthy volunteers
No

Inclusion criteria

* Subject's parent/legal guardian must give written informed consent, including privacy authorization, prior to study participation. Complete documentation regarding the consent process must be recorded in the case report form (CRF) and source documentation. * Subject's parent/legal guardian must be willing and able to comply with the study procedures and visit schedules. * Subject, male or female, must be between the ages of birth and \<48 months, exclusive, at the time of consent. * Subjects 24 to \<48 months of age must have a history of physician-diagnosed asthma (defined as at least 3 episodes of respiratory symptoms consistent with asthma symptoms including, but not limited to, cough, wheeze, or dyspnea). * Subjects 0 to \<24 months of age must have a history of 3 episodes of respiratory symptoms that in the judgement of the investigator could be consistent with asthma or reactive airways disease. * Subject must be in good health and not affected by any other chronic conditions, including respiratory disorders other than asthma. * In subjects with a chest radiograph (taken 12 months prior to screening visit), no evidence of any chronic cardiopulmonary condition other than asthma should be present as discerned by the Investigator. * Subject's parent/legal guardian must be able to complete the diary cards and medical event calendars (MEC) reliably on a daily basis and understand dosing instructions and questionnaire completion.

Exclusion criteria

* Subject who requires or is expected to require any disallowed medications * Subject who has participated in an investigational drug study within 30 days prior to screening, or who is currently participating in another clinical trial. * Subject or parent/legal guardian who has daily commitments during the study that would interfere with trial measurements, compliance, or both. * Subject who has a history of hospitalization for asthma, reactive airways disease, or bronchospasm within 4 weeks prior to screening or who is scheduled for in-patient hospitalization, including elective surgery during the course of the trial. * Subject who has experienced significant blood loss within 60 days of study drug. * Subject with a clinical diagnosis of cystic fibrosis. * Subject who was born prematurely, defined as less than 38 weeks gestational age at birth, and is \<1 year of age at screening * Subject whose body weight is less than 7.0 kg at screening. This minimum weight requirement is based upon standard pediatric growth charts \[CDC 2000\]. * Subject with a known sensitivity to levalbuterol or racemic albuterol, or any of the excipients contained in any of these formulations. * Subject using any prescription drug with which levalbuterol or racemic albuterol sulfate administration is contraindicated. * Subject with a history of life-threatening asthma, defined as previous asthma episodes requiring intubation or associated with hypercapnia, respiratory arrest, or hypoxic seizures. * Subject with clinically significant abnormalities that may interfere with the metabolism or excretion of the study drugs or study participation (eg, abnormalities of renal, hepatic, metabolic, or endocrine function). * Subject with a history of cancer. * Subject with any chronic or congenital cardiorespiratory condition other than asthma including, but not limited to, bronchopulmonary dysplasia, congenital heart disease, and cystic fibrosis. * Subject affected by an upper or lower respiratory tract infection in the 3 weeks prior to screening. * Subject with a history of ventilation for a respiratory condition occurring at or near birth, including those associated with prematurity or bronchopulmonary dysplasia. Ventilatory support for elective non-cardiopulmonary surgery is not exclusionary. - Subject with any clinically significant abnormal laboratory values (hematology, blood chemistry). * Subject with a clinically significant abnormal 12-lead ECG that would put the subject at risk for experiencing adverse cardiac effects. * Subject who is a relative of a staff member.

Design outcomes

Primary

MeasureTime frameDescription
Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA)Baseline, Visit 4 (Week 4)The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score at Visit 4 is defined as the mean of the daily composite scores in the week prior to Visit 4.

Secondary

MeasureTime frameDescription
Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver AssessmentThe days from Visit 2 (inclusive) to the day prior to Visit 3 - approximately 14 daysThe daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.
Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver AssessmentThe days from Visit 3 (inclusive) to the day prior to Visit 4 - approximately 14 daysThe daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.
Change From Baseline to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire (PAQ)Baseline, Visit 3 (Week 3)The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score at Visit 3 is defined as the mean daily composite scores for 7 days prior to Visit 3.
Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by Pediatric Asthma QuestionnaireBaseline, Visit 4 (Week 4)The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score at Visit 4 is defined as the mean daily composite scores in the 7 days prior to Visit 4.
Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma QuestionnaireThe days from Visit 2 (inclusive) to the day prior to Visit 3 - approximately 14 daysThe daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.
Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Score as Measured by the Pediatric Asthma QuestionnaireThe days from Visit 3 (inclusive) to the day prior to Visit 4 - approximately 14 daysThe daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Baseline, Visit 2: 30 minutes post-dose (on the day of randomization), 1 hour post-dose, 4 hours post-dose, 6 hours post-dosePeak expiratory flow (PEF) measures how fast a person can breathe out using the greatest effort
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 3Baseline, Visit 3, pre-dose (approximately 14 days after randomization)
Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4: pre-dose (approximately 28 days after randomization) , 30 minutes post-dose, 1 hour post-dose, 4 hours post-dose, 6 hours post-dose
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Baseline, Visit 2: , 30 minutes post-dose (on the day of randomization), 1 hour post-dose, 4 hours post-dose, 6 hours post-dose
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 3Baseline, Visit 3, pre -dose (approximately 14 days after randomization)
Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Baseline, Visit 4, pre -dose (approximately 28 days after randomization)
Change From Baseline to Visit 3 in Mean Daily Composite Score Based on the Pediatric Asthma Caregiver AssessmentBaseline, Visit 3 (Week 3)The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score at Visit 3 is defined as the mean of the daily composite scores in the 7 days prior to Visit 3.
Percent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)Visit 3 (the week prior to Visit 3), Visit 4 (the week prior to Visit 4)Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to \<48 months capable of performing acceptable and reproducible PEF maneuvers.
Investigator Global Assessment - Question 1Visit 4 (End of 28 day treatment period)Since the start of the study, how would you evaluate the child's asthma symptoms?
Investigator Global Assessment - Question 2Visit 4 (End of 28 day treatment period)Since the start of the study, how would you evaluate your ability to manage the subject's asthma?
Caregiver Global Assessment - Question 1Visit 4 (End of 28 day treatment period)Since the start of the study, how would you evaluate your child's asthma symptoms?
Caregiver Global Assessment - Question 2Visit 4 (End of 28 day treatment period)Since the start of the study, how would you evaluate your ability to manage your child's asthma?
Caregiver Global Assessment - Question 3Visit 4 (End of 28 day treatment period)Overall I was: Very satisfied with the control of the child's asthma symptoms while enrolled in this study, Moderately satisfied with the control of the child's asthma symptoms while enrolled in this study, Slightly satisfied with the control of the child's asthma symptoms while enrolled in this study, Not satisfied with the control of the child's asthma symptoms while enrolled in this study or answer Missing
Rescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)Number of subjects using rescue medication during the treatment period
Rescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)
Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)
Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 2 to Visit 3 (the first 2 weeks of the study), Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)
Change From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite ScoreVisit 3 and Visit 4 (End of 28 day treatment period)The PACQLQ composite score was calculated as the mean of the scores of the 13 individual questions. Composite scores could range from 1 to 7. Lower scores indicated greater impact of disease on quality of life.
Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4Baseline, Visit 3 (the week prior to Visit 3) and Visit 4Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to \<48 months capable of performing acceptable and reproducible PEF maneuvers.

Countries

United States

Participant flow

Participants by arm

ArmCount
Placebo
Placebo Placebo MDI TID
68
Levalbuterol MDI
Levalbuterol MDI TID
65
Levalbuterol UDV
Levalbuterol UDV TID: 0.31 ug Levalbuterol UDV TID
63
Total196

Withdrawals & dropouts

PeriodReasonFG000FG001FG002
Overall StudyAdverse Event233
Overall StudyLost to Follow-up001
Overall StudyNoncompliance with Medication001
Overall StudyProtocol Violation111
Overall StudySubject Uncooperative102
Overall StudyWithdrawal by Subject213

Baseline characteristics

CharacteristicLevalbuterol MDILevalbuterol UDVPlaceboTotal
Age, Categorical
<=18 years
65 Participants63 Participants68 Participants196 Participants
Age, Categorical
>=65 years
0 Participants0 Participants0 Participants0 Participants
Age, Categorical
Between 18 and 65 years
0 Participants0 Participants0 Participants0 Participants
Age, Continuous29.3 Months
STANDARD_DEVIATION 12.57
28.4 Months
STANDARD_DEVIATION 12.48
29.2 Months
STANDARD_DEVIATION 12.17
29.0 Months
STANDARD_DEVIATION 12.35
Age, Customized
0 to < 12 months
9 participants9 participants9 participants27 participants
Age, Customized
0 to < 24 months
23 participants22 participants23 participants68 participants
Age, Customized
24 to < 48 months
42 participants41 participants45 participants128 participants
Ethnicity (NIH/OMB)
Hispanic or Latino
21 Participants19 Participants16 Participants56 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
44 Participants44 Participants52 Participants140 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
1 Participants0 Participants0 Participants1 Participants
Race (NIH/OMB)
Asian
0 Participants1 Participants0 Participants1 Participants
Race (NIH/OMB)
Black or African American
23 Participants24 Participants18 Participants65 Participants
Race (NIH/OMB)
More than one race
2 Participants2 Participants4 Participants8 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
39 Participants36 Participants46 Participants121 Participants
Region of Enrollment
United States
65 participants63 participants68 participants196 participants
Sex: Female, Male
Female
35 Participants24 Participants29 Participants88 Participants
Sex: Female, Male
Male
30 Participants39 Participants39 Participants108 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
deaths
Total, all-cause mortality
— / —— / —— / —
other
Total, other adverse events
28 / 6831 / 6527 / 63
serious
Total, serious adverse events
0 / 681 / 653 / 63

Outcome results

Primary

Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA)

The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score at Visit 4 is defined as the mean of the daily composite scores in the week prior to Visit 4.

Time frame: Baseline, Visit 4 (Week 4)

Population: Intent-to-Treat Population. Only those subjects who had non-missing data at Week 4 and at Baseline were included. Subjects who discontinued from the study prior to Week 4 are not included in this analysis

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA)-1.21 units on a scaleStandard Deviation 2.722
Levalbuterol MDIChange From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA)-0.67 units on a scaleStandard Deviation 2.092
Levalbuterol UDVChange From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessments (PACA)-0.52 units on a scaleStandard Deviation 2.843
Comparison: 195 subjects were randomized in order to achieve 150 subjects completing the study. The sample size was set based on FDA requirements, and was outside of statistical considerations.95% CI: [-1.412, 0.342]
Comparison: 195 subjects were randomized in order to achieve 150 subjects completing the study. The sample size was set based on FDA requirements, and was outside of statistical considerations95% CI: [-1.714, 0.335]
Comparison: 195 subjects were randomized in order to achieve 150 subjects completing the study. The sample size was set based on FDA requirements, and was outside of statistical considerations.95% CI: [-1.08, 0.771]
Secondary

Caregiver Global Assessment - Question 1

Since the start of the study, how would you evaluate your child's asthma symptoms?

Time frame: Visit 4 (End of 28 day treatment period)

Population: Intent-to-Treat Population

ArmMeasureGroupValue (NUMBER)
PlaceboCaregiver Global Assessment - Question 1Moderately Better16 Number of subjects
PlaceboCaregiver Global Assessment - Question 1Slightly Worse1 Number of subjects
PlaceboCaregiver Global Assessment - Question 1The Same12 Number of subjects
PlaceboCaregiver Global Assessment - Question 1Much Better21 Number of subjects
PlaceboCaregiver Global Assessment - Question 1Much Worse0 Number of subjects
PlaceboCaregiver Global Assessment - Question 1Moderately Worse0 Number of subjects
PlaceboCaregiver Global Assessment - Question 1Slightly Better12 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 1The Same11 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 1Much Better21 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 1Moderately Better14 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 1Slightly Better12 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 1Slightly Worse2 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 1Moderately Worse0 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 1Much Worse0 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 1Slightly Worse0 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 1Moderately Better13 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 1Much Worse0 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 1Moderately Worse1 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 1The Same12 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 1Slightly Better8 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 1Much Better21 Number of subjects
Secondary

Caregiver Global Assessment - Question 2

Since the start of the study, how would you evaluate your ability to manage your child's asthma?

Time frame: Visit 4 (End of 28 day treatment period)

Population: Intent-to-Treat Population

ArmMeasureGroupValue (NUMBER)
PlaceboCaregiver Global Assessment - Question 2Moderately Better12 Number of subjects
PlaceboCaregiver Global Assessment - Question 2Moderately Worse0 Number of subjects
PlaceboCaregiver Global Assessment - Question 2Much Worse0 Number of subjects
PlaceboCaregiver Global Assessment - Question 2Slightly Better11 Number of subjects
PlaceboCaregiver Global Assessment - Question 2Much Better27 Number of subjects
PlaceboCaregiver Global Assessment - Question 2The Same11 Number of subjects
PlaceboCaregiver Global Assessment - Question 2Slightly Worse1 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 2Slightly Worse0 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 2Slightly Better10 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 2Moderately Worse0 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 2Moderately Better6 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 2The Same12 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 2Much Worse0 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 2Much Better32 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 2Much Worse0 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 2Much Better29 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 2Moderately Better10 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 2Slightly Better4 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 2Slightly Worse0 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 2Moderately Worse0 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 2The Same12 Number of subjects
Secondary

Caregiver Global Assessment - Question 3

Overall I was: Very satisfied with the control of the child's asthma symptoms while enrolled in this study, Moderately satisfied with the control of the child's asthma symptoms while enrolled in this study, Slightly satisfied with the control of the child's asthma symptoms while enrolled in this study, Not satisfied with the control of the child's asthma symptoms while enrolled in this study or answer Missing

Time frame: Visit 4 (End of 28 day treatment period)

Population: Intent-to-Treat Population

ArmMeasureGroupValue (NUMBER)
PlaceboCaregiver Global Assessment - Question 3Very satisfied47 Number of subjects
PlaceboCaregiver Global Assessment - Question 3Moderately satisfied11 Number of subjects
PlaceboCaregiver Global Assessment - Question 3Slightly satisfied4 Number of subjects
PlaceboCaregiver Global Assessment - Question 3Not satisfied0 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 3Not satisfied1 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 3Very satisfied45 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 3Slightly satisfied2 Number of subjects
Levalbuterol MDICaregiver Global Assessment - Question 3Moderately satisfied12 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 3Not satisfied2 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 3Moderately satisfied7 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 3Slightly satisfied1 Number of subjects
Levalbuterol UDVCaregiver Global Assessment - Question 3Very satisfied45 Number of subjects
Secondary

Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 3

Time frame: Baseline, Visit 3, pre-dose (approximately 14 days after randomization)

Population: Intent-to-Treat Population - PEF Cohort (Subjects able to perform PEFs)

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 3-0.23 litersStandard Deviation 0.255
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 30.14 litersStandard Deviation 0.251
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 30.03 litersStandard Deviation 0.12
Secondary

Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4

Time frame: Visit 4: pre-dose (approximately 28 days after randomization) , 30 minutes post-dose, 1 hour post-dose, 4 hours post-dose, 6 hours post-dose

Population: Intent-to-Treat Population - PEF Cohort (Subjects able to perform PEFs)

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 4 hours post-dose-0.11 litersStandard Deviation 0.382
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 1 hour post-dose-0.03 litersStandard Deviation 0.332
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, pre-dose-0.25 litersStandard Deviation 0.307
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 30 minutes post-dose-0.17 litersStandard Deviation 0.323
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 6 hours post-dose-0.07 litersStandard Deviation 0.26
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 1 hour post-dose0.40 litersStandard Deviation 0.242
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, pre-dose0.29 litersStandard Deviation 0.313
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 30 minutes post-dose0.29 litersStandard Deviation 0.247
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 4 hours post-dose0.30 litersStandard Deviation 0.305
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 6 hours post-dose0.20 litersStandard Deviation 0.173
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 6 hours post-dose0.09 litersStandard Deviation 0.361
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 4 hours post-dose0.11 litersStandard Deviation 0.181
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, pre-dose0.04 litersStandard Deviation 0.146
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 1 hour post-dose0.16 litersStandard Deviation 0.227
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoint at Visit 4Visit 4, 30 minutes post-dose0.42 litersStandard Deviation 0.585
Secondary

Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2

Peak expiratory flow (PEF) measures how fast a person can breathe out using the greatest effort

Time frame: Baseline, Visit 2: 30 minutes post-dose (on the day of randomization), 1 hour post-dose, 4 hours post-dose, 6 hours post-dose

Population: Intent-to-Treat Population - PEF Cohort (Subjects able to perform PEFs)

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 30 minutes post-dose-0.08 litersStandard Deviation 0.147
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 1 hour post-dose-0.04 litersStandard Deviation 0.183
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 4 hours post-dose-0.09 litersStandard Deviation 0.303
PlaceboChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 6 hours post-dose-0.07 litersStandard Deviation 0.121
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 6 hours post-dose0.12 litersStandard Deviation 0.164
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 30 minutes post-dose0.17 litersStandard Deviation 0.211
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 4 hours post-dose0.06 litersStandard Deviation 0.098
Levalbuterol MDIChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 1 hour post-dose0.13 litersStandard Deviation 0.162
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 6 hours post-dose0.06 litersStandard Deviation 0.213
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 1 hour post-dose0.18 litersStandard Deviation 0.176
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 4 hours post-dose0.04 litersStandard Deviation 0.188
Levalbuterol UDVChange From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 30 minutes post-dose0.16 litersStandard Deviation 0.101
Secondary

Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4

Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to \<48 months capable of performing acceptable and reproducible PEF maneuvers.

Time frame: Baseline, Visit 3 (the week prior to Visit 3) and Visit 4

Population: Intent-to-Treat Population - PEF Cohort (Subjects able to perform PEFs)

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4Visit 30.07 litersStandard Deviation 0.164
PlaceboChange From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4Visit 40.00 litersStandard Deviation 0.205
Levalbuterol MDIChange From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4Visit 30.12 litersStandard Deviation 0.209
Levalbuterol MDIChange From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4Visit 40.08 litersStandard Deviation 0.186
Levalbuterol UDVChange From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4Visit 30.01 litersStandard Deviation 0.193
Levalbuterol UDVChange From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4Visit 4-0.01 litersStandard Deviation 0.096
Secondary

Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire

The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.

Time frame: The days from Visit 2 (inclusive) to the day prior to Visit 3 - approximately 14 days

Population: Intent-to-Treat Population

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire-0.87 units on a scaleStandard Deviation 2.797
Levalbuterol MDIChange From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire-0.36 units on a scaleStandard Deviation 2.872
Levalbuterol UDVChange From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire-0.08 units on a scaleStandard Deviation 2.589
Secondary

Change From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment

The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score from Visit 2 to Visit 3 is defined as the mean of the daily composite scores from Visit 2 (inclusive) to the day prior to Visit 3.

Time frame: The days from Visit 2 (inclusive) to the day prior to Visit 3 - approximately 14 days

Population: Intent-to-Treat Population

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-0.82 units on a scaleStandard Deviation 2.417
Levalbuterol MDIChange From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-0.25 units on a scaleStandard Deviation 2.041
Levalbuterol UDVChange From Baseline to Visit 2 to Visit 3 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-0.15 units on a scaleStandard Deviation 2.067
Secondary

Change From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite Score

The PACQLQ composite score was calculated as the mean of the scores of the 13 individual questions. Composite scores could range from 1 to 7. Lower scores indicated greater impact of disease on quality of life.

Time frame: Visit 3 and Visit 4 (End of 28 day treatment period)

Population: Intent-to-Treat Population

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite ScoreVisit 40.41 Units on a scaleStandard Deviation 0.931
PlaceboChange From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite ScoreVisit 30.34 Units on a scaleStandard Deviation 0.888
Levalbuterol MDIChange From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite ScoreVisit 30.35 Units on a scaleStandard Deviation 0.976
Levalbuterol MDIChange From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite ScoreVisit 40.44 Units on a scaleStandard Deviation 1.171
Levalbuterol UDVChange From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite ScoreVisit 30.18 Units on a scaleStandard Deviation 0.944
Levalbuterol UDVChange From Baseline to Visit 3 and Visit 4 in the Pediatric Asthma Caregiver's Quality of Life Questionnaire (PACQLA) Composite ScoreVisit 40.21 Units on a scaleStandard Deviation 0.883
Secondary

Change From Baseline to Visit 3 in Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment

The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score at Visit 3 is defined as the mean of the daily composite scores in the 7 days prior to Visit 3.

Time frame: Baseline, Visit 3 (Week 3)

Population: Intent-to-Treat Population

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 3 in Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-0.83 units on a scaleStandard Deviation 2.913
Levalbuterol MDIChange From Baseline to Visit 3 in Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-0.28 units on a scaleStandard Deviation 2.49
Levalbuterol UDVChange From Baseline to Visit 3 in Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-0.22 units on a scaleStandard Deviation 2.545
Secondary

Change From Baseline to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire (PAQ)

The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score at Visit 3 is defined as the mean daily composite scores for 7 days prior to Visit 3.

Time frame: Baseline, Visit 3 (Week 3)

Population: Intent-to-Treat Population

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire (PAQ)-0.82 units on a scaleStandard Deviation 3.457
Levalbuterol MDIChange From Baseline to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire (PAQ)-0.45 units on a scaleStandard Deviation 3.522
Levalbuterol UDVChange From Baseline to Visit 3 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by the Pediatric Asthma Questionnaire (PAQ)0.00 units on a scaleStandard Deviation 3.199
Secondary

Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Score as Measured by the Pediatric Asthma Questionnaire

The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.

Time frame: The days from Visit 3 (inclusive) to the day prior to Visit 4 - approximately 14 days

Population: Intent-to-Treat Population

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Score as Measured by the Pediatric Asthma Questionnaire-1.24 units on a scaleStandard Deviation 2.979
Levalbuterol MDIChange From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Score as Measured by the Pediatric Asthma Questionnaire-0.61 units on a scaleStandard Deviation 2.706
Levalbuterol UDVChange From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Score as Measured by the Pediatric Asthma Questionnaire-0.37 units on a scaleStandard Deviation 2.572
Secondary

Change From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment

The daily composite score is the sum of the scores of 5 domains: Nocturnal Awakenings Due to Wheeze and Cough, Daytime Wheeze, Daytime Cough, Shortness of Breath, and Asthma Symptom Score. A possible score of 0 (no symptoms) to 19 (severe symptoms). The mean daily composite score from Visit 3 to Visit 4 is defined as the mean of the daily composite scores from Visit 3 (inclusive) to the day prior to Visit 4.

Time frame: The days from Visit 3 (inclusive) to the day prior to Visit 4 - approximately 14 days

Population: Intent-to-Treat Population

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-1.08 units on a scaleStandard Deviation 2.478
Levalbuterol MDIChange From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-0.40 units on a scaleStandard Deviation 2.285
Levalbuterol UDVChange From Baseline to Visit 3 to Visit 4 in the Mean Daily Composite Score Based on the Pediatric Asthma Caregiver Assessment-0.52 units on a scaleStandard Deviation 2.331
Secondary

Change From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by Pediatric Asthma Questionnaire

The daily composite score is the sum of the scores of 7 items: Difficulty Breathing, Cough, Wheeze, Activity Limitation, Level of Activity Limitation, Overall Symptom Score, and Nighttime Asthma. The range for the PAQ is 0 (no symptoms) to 27 (severe symptoms). The mean daily composite score at Visit 4 is defined as the mean daily composite scores in the 7 days prior to Visit 4.

Time frame: Baseline, Visit 4 (Week 4)

Population: Intent-to-Treat Population

ArmMeasureValue (MEAN)Dispersion
PlaceboChange From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by Pediatric Asthma Questionnaire-1.39 units on a scaleStandard Deviation 3.213
Levalbuterol MDIChange From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by Pediatric Asthma Questionnaire-0.91 units on a scaleStandard Deviation 2.585
Levalbuterol UDVChange From Baseline to Visit 4 in the Mean Daily Composite Score Based on the Daytime and Nighttime Asthma Symptom Scores as Measured by Pediatric Asthma Questionnaire-0.47 units on a scaleStandard Deviation 2.931
Secondary

Investigator Global Assessment - Question 1

Since the start of the study, how would you evaluate the child's asthma symptoms?

Time frame: Visit 4 (End of 28 day treatment period)

Population: Intent-to-Treat Population

ArmMeasureGroupValue (NUMBER)
PlaceboInvestigator Global Assessment - Question 1Moderately Better23 Number of subjects
PlaceboInvestigator Global Assessment - Question 1Slightly Worse0 Number of subjects
PlaceboInvestigator Global Assessment - Question 1The Same14 Number of subjects
PlaceboInvestigator Global Assessment - Question 1Much Better12 Number of subjects
PlaceboInvestigator Global Assessment - Question 1Much Worse0 Number of subjects
PlaceboInvestigator Global Assessment - Question 1Moderately Worse1 Number of subjects
PlaceboInvestigator Global Assessment - Question 1Slightly Better12 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 1The Same12 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 1Much Better17 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 1Moderately Better15 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 1Slightly Better14 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 1Slightly Worse1 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 1Moderately Worse1 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 1Much Worse0 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 1Slightly Worse1 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 1Moderately Better13 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 1Much Worse0 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 1Moderately Worse1 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 1The Same13 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 1Slightly Better11 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 1Much Better16 Number of subjects
Secondary

Investigator Global Assessment - Question 2

Since the start of the study, how would you evaluate your ability to manage the subject's asthma?

Time frame: Visit 4 (End of 28 day treatment period)

Population: Intent-to-Treat Population

ArmMeasureGroupValue (NUMBER)
PlaceboInvestigator Global Assessment - Question 2Much Better19 Number of subjects
PlaceboInvestigator Global Assessment - Question 2Moderately Better17 Number of subjects
PlaceboInvestigator Global Assessment - Question 2Slightly Worse0 Number of subjects
PlaceboInvestigator Global Assessment - Question 2Slightly Better8 Number of subjects
PlaceboInvestigator Global Assessment - Question 2The Same17 Number of subjects
PlaceboInvestigator Global Assessment - Question 2Moderately Worse1 Number of subjects
PlaceboInvestigator Global Assessment - Question 2Much Worse0 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 2The Same15 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 2Much Better21 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 2Slightly Better12 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 2Much Worse0 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 2Moderately Better12 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 2Moderately Worse0 Number of subjects
Levalbuterol MDIInvestigator Global Assessment - Question 2Slightly Worse0 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 2Moderately Better11 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 2Slightly Better7 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 2Much Worse0 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 2The Same14 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 2Slightly Worse0 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 2Much Better23 Number of subjects
Levalbuterol UDVInvestigator Global Assessment - Question 2Moderately Worse0 Number of subjects
Secondary

Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2

Time frame: Baseline, Visit 2: , 30 minutes post-dose (on the day of randomization), 1 hour post-dose, 4 hours post-dose, 6 hours post-dose

Population: Intent-to-Treat Population - PEF Cohort (Subjects able to perform PEFs)

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 30 minutes post-does-5.42 percent changeStandard Deviation 9.94
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 1 hour post-dose-2.83 percent changeStandard Deviation 15.094
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 4 hours post-dose-4.22 percent changeStandard Deviation 17.886
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 6 hours post-dose-5.24 percent changeStandard Deviation 10.44
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 6 hours post-dose17.21 percent changeStandard Deviation 24.013
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 30 minutes post-does23.22 percent changeStandard Deviation 36.195
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 4 hours post-dose9.54 percent changeStandard Deviation 15.467
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 1 hour post-dose18.21 percent changeStandard Deviation 26.225
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 6 hours post-dose14.40 percent changeStandard Deviation 41.548
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 1 hour post-dose25.05 percent changeStandard Deviation 37.207
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 4 hours post-dose11.74 percent changeStandard Deviation 37.114
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 2Visit 2, 30 minutes post-does21.71 percent changeStandard Deviation 23.782
Secondary

Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 3

Time frame: Baseline, Visit 3, pre -dose (approximately 14 days after randomization)

Population: Intent-to-Treat Population - PEF Cohort (Subjects able to perform PEFs)

ArmMeasureValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 3-18.58 percent changeStandard Deviation 21.742
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 325.36 percent changeStandard Deviation 30.129
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 36.02 percent changeStandard Deviation 13.444
Secondary

Percent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4

Time frame: Baseline, Visit 4, pre -dose (approximately 28 days after randomization)

Population: Intent-to-Treat Population - PEF Cohort (Subjects able to perform PEFs)

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 4 hours post-dose-4.67 percent changeStandard Deviation 27.435
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 6 hours post-dose-2.06 percent changeStandard Deviation 21.507
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 30 minutes post-dose-11.69 percent changeStandard Deviation 27.617
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 1 hour post-dose0.94 percent changeStandard Deviation 24.02
PlaceboPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, pre-dose-17.26 percent changeStandard Deviation 23.343
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 30 minutes post-dose48.94 percent changeStandard Deviation 48.881
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 4 hours post-dose47.59 percent changeStandard Deviation 42.339
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, pre-dose49.92 percent changeStandard Deviation 48.545
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 6 hours post-dose32.00 percent changeStandard Deviation 27.657
Levalbuterol MDIPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 1 hour post-dose63.76 percent changeStandard Deviation 45.62
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 6 hours post-dose25.09 percent changeStandard Deviation 69.44
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, pre-dose7.03 percent changeStandard Deviation 18.829
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 30 minutes post-dose47.47 percent changeStandard Deviation 55.01
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 1 hour post-dose25.32 percent changeStandard Deviation 47.769
Levalbuterol UDVPercent Change From Baseline in In-Clinic Peak Expiratory Flow to Postdose Timepoints at Visit 4Visit 4, 4 hours post-dose20.20 percent changeStandard Deviation 37.895
Secondary

Percent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)

Mean of the daily pre-dose PEF values in the week prior to visit in those subjects aged 24 to \<48 months capable of performing acceptable and reproducible PEF maneuvers.

Time frame: Visit 3 (the week prior to Visit 3), Visit 4 (the week prior to Visit 4)

Population: Intent-to-Treat Population - PEF Cohort (Subjects able to perform PEFs)

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboPercent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)Visit 37.39 percent changeStandard Deviation 16.585
PlaceboPercent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)Visit 40.21 percent changeStandard Deviation 22.426
Levalbuterol MDIPercent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)Visit 315.05 percent changeStandard Deviation 26.849
Levalbuterol MDIPercent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)Visit 410.33 percent changeStandard Deviation 24.436
Levalbuterol UDVPercent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)Visit 35.30 percent changeStandard Deviation 21.093
Levalbuterol UDVPercent Change From Baseline in the At-Home Mean Daily Peak Expiratory Flow (PEF to Postdose Timepoint at Visit 3 and Visit 4)Visit 4-1.05 percent changeStandard Deviation 12.155
Secondary

Rescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When Used

Time frame: Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)

Population: Intent-to-Treat Population - Subjects who used rescue medication at any time during the first two weeks of the study and who used rescue medication at any time during baseline

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 3 to Visit 4 the second 2 weeks of the study-0.8 Days per WeekStandard Deviation 1.51
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 2 to Visit 3 the first 2 weeks of the study-0.3 Days per WeekStandard Deviation 2.43
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 2 to Visit 4 the entire 4 weeks of the study-1.1 Days per WeekStandard Deviation 1.95
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 3 to Visit 4 the second 2 weeks of the study0.1 Days per WeekStandard Deviation 2.57
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 2 to Visit 3 the first 2 weeks of the study-0.8 Days per WeekStandard Deviation 2.22
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 2 to Visit 4 the entire 4 weeks of the study-0.5 Days per WeekStandard Deviation 1.89
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 2 to Visit 3 the first 2 weeks of the study-1.3 Days per WeekStandard Deviation 1.29
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 2 to Visit 4 the entire 4 weeks of the study-1.1 Days per WeekStandard Deviation 0.73
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Days Used Per Week When UsedVisit 3 to Visit 4 the second 2 weeks of the study-1.0 Days per WeekStandard Deviation 0.94
Secondary

Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week

Time frame: Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)

Population: Intent-to-Treat Population

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 3 to Visit 4 the second 2 weeks of the study-0.4 Doses per WeekStandard Deviation 3.56
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 2 to Visit 3 the first 2 weeks of the study0.0 Doses per WeekStandard Deviation 3.14
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 2 to Visit 4 the entire 4 weeks of the study-0.2 Doses per WeekStandard Deviation 3.1
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 3 to Visit 4 the second 2 weeks of the study0.4 Doses per WeekStandard Deviation 2.83
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 2 to Visit 3 the first 2 weeks of the study0.1 Doses per WeekStandard Deviation 2.77
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 2 to Visit 4 the entire 4 weeks of the study0.3 Doses per WeekStandard Deviation 2.23
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 2 to Visit 3 the first 2 weeks of the study0.0 Doses per WeekStandard Deviation 0.77
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 2 to Visit 4 the entire 4 weeks of the study0.0 Doses per WeekStandard Deviation 0.96
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per WeekVisit 3 to Visit 4 the second 2 weeks of the study0.1 Doses per WeekStandard Deviation 1.28
Secondary

Rescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When Used

Time frame: Visit 2 to Visit 3 (the first 2 weeks of the study), Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)

Population: Intent-to-Treat Population - subjects who used rescue medication at any time during the first 2 weeks of the study and who had used rescue medication at any time during baseline

ArmMeasureGroupValue (MEAN)Dispersion
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 3 to Visit 4 the second 2 weeks of the study-2.9 Doses per WeekStandard Deviation 7.64
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 2 to Visit 3 the first 2 weeks of the study-2.1 Doses per WeekStandard Deviation 8.84
PlaceboRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 2 to Visit 4 the entire 4 weeks of the study-2.1 Doses per WeekStandard Deviation 8.06
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 3 to Visit 4 the second 2 weeks of the study2.8 Doses per WeekStandard Deviation 6.27
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 2 to Visit 3 the first 2 weeks of the study-0.6 Doses per WeekStandard Deviation 3.94
Levalbuterol MDIRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 2 to Visit 4 the entire 4 weeks of the study1.8 Doses per WeekStandard Deviation 4.75
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 2 to Visit 3 the first 2 weeks of the study-1.3 Doses per WeekStandard Deviation 2.08
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 2 to Visit 4 the entire 4 weeks of the study-0.8 Doses per WeekStandard Deviation 1.56
Levalbuterol UDVRescue Medication Use - Change From Baseline in Mean Number of Doses Used Per Week During Weeks When UsedVisit 3 to Visit 4 the second 2 weeks of the study-0.8 Doses per WeekStandard Deviation 1.44
Secondary

Rescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment Period

Number of subjects using rescue medication during the treatment period

Time frame: Visit 2 to Visit 3 (the first 2 weeks of the study) , Visit 3 to Visit 4 (the second 2 weeks of the study), Visit 2 to Visit 4 (the entire 4 weeks of the study)

Population: Intent-to-Treat Population

ArmMeasureGroupValue (NUMBER)
PlaceboRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 3 to Visit 4 the second 2 weeks of the study20 Number of subjects
PlaceboRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 2 to Visit 3 the first 2 weeks of the study24 Number of subjects
PlaceboRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 2 to Visit 4 the entire 4 weeks of the study33 Number of subjects
Levalbuterol MDIRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 3 to Visit 4 the second 2 weeks of the study20 Number of subjects
Levalbuterol MDIRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 2 to Visit 3 the first 2 weeks of the study20 Number of subjects
Levalbuterol MDIRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 2 to Visit 4 the entire 4 weeks of the study29 Number of subjects
Levalbuterol UDVRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 2 to Visit 3 the first 2 weeks of the study14 Number of subjects
Levalbuterol UDVRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 2 to Visit 4 the entire 4 weeks of the study20 Number of subjects
Levalbuterol UDVRescue Medication Use: Number of Subjects Using Rescue Medication During the Treatment PeriodVisit 3 to Visit 4 the second 2 weeks of the study12 Number of subjects

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026